TUPELO SURGERY CENTER L.L.C. NPI 1164472031

NPI Information

TUPELO SURGERY CENTER, L.L.C. is an ophthalmologic surgery clinic center in Tupelo, MS. TUPELO SURGERY CENTER, L.L.C. NPI is 1164472031. The provider is registered as an organization entity type.

The provider's business location address is:

3353 N GLOSTER ST
SUITE 300
TUPELO, MS
ZIP 38804-735
Phone: (662) 407-0334
Fax: (662) 840-5614

The provider's authorized official is Sondra Byrd .
The authorized official title is Business Office Manager and has the following contact phone number (662) 844-3555.

The CLIA number assigned to this NPI record is 25D1000721 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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